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General NPI Number Information
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NPI Number | 1033926514
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Entity Type | Organization
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Legal Business Name | CLINICA QUIROPRACTICA EQUILIBRIO, LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | CARR. 156 KM 48.3 BO. MULAS
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City | AGUAS BUENAS
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State | PR
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Zip | 00703
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Country | US
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Telephone | 787-528-2018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-0040
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Country | US
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Telephone | 787-547-1234
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Fax | 787-561-7464
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Authorized Official
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Title or Position | CHRIOPRACTOR
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Name | DR. OSCAR A GUTIERREZ-RODRIGUEZ
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Credential | D.C.
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Telephone | 787-528-2018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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